Active NPI
John Vincent Pastore, MD
- Pediatrics Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 87253
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-1009 - Phone
- (843) 792-1414
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 223318 | NY | |
| Pediatrics Physician | 208000000X | 87253 | SC | Primary |
| Hospitalist Physician | 208M00000X | 87253 | SC |
Addresses
Primary practice location
171 Ashley Ave
Charleston, SC 29425-1009
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Other practice location 1
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1634
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051021000000 | Other | FIDELIS | |
| 1212816 | Other | IHA | |
| 00026960701 | Other | UNIVERA | |
| 000528058003 | Other | BC/BS | |
| 02414482 | Medicaid | NY | |
| 000528058001 | Other | BC/BS | |
| 050301000096 | Other | FIDELIS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.musc.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.02 of 100
- Quality
- 62.41
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223318 | NY | MD | Clinical Social Worker |
| 87253 | SC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University at Buffalo Pediatric Associates Inc | Pediatrics | Current | Accepting new patients |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Bon Secours St Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Pediatrics | Current | Accepting new patients |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Medical University Hospital Authority | Past | Accepting new patients |
Locations
1001 Main St
Fl 5
Buffalo, NY 14203
Phone (716) 323-0031
1404 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 932-6060
1404 Sweet Home Rd
Ste 56
Buffalo, NY 14228
Phone (716) 639-9361
1400 Sweet Home Rd
Ste 5
Buffalo, NY 14228
Phone (716) 691-6283
1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284
219 Bryant St
Buffalo, NY 14222
Phone (716) 878-7000
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
Interoperability endpoints
- jpastore396087@direct.musc.edu
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
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-
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- NPI 1912928599
-
- Maternal & Fetal Medicine Physician
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- NPI 1336546480
-
- Pediatrics Physician
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- NPI 1982583068
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1295786978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751461",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294251009",
"telephone_number": "843-792-1414"
}
],
"practiceLocations": [
{
"address_1": "2095 Henry Tecklenburg Dr",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294145733",
"country_code": "US",
"telephone_number": "843-402-1634",
"fax_number": "843-402-1550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASTORE",
"first_name": "JOHN",
"middle_name": "VINCENT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "223318",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "87253",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "87253",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "051021000000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "1212816",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00026960701",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000528058003",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02414482",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000528058001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "050301000096",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.musc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "171 Ashley Ave",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294251009",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.